Doctor Name: | KELSEY J HALEMEYER |
NPI Number: | 1053782284 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LMHC |
License Number: | 001668 |
Business Practice Address: | 1310 Solar Dr Waterloo, IA - 507012463 |
Business Phone Number: | 3192322086 |
Business Fax Number: | |
Mailing Address: | 1310 Solar Dr, WATERLOO |
State: | IA |
Postal Code: | 507012463 |
Phone Number: | 3192322086 |
Fax Number: | |
NPI Enumeration Date: | 10/14/2015 |
NPI Last Update Date: | 10/14/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | 001668 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |